Provider Demographics
NPI:1578442224
Name:MOYA LEDESMA, STEPHANI
Entity type:Individual
Prefix:
First Name:STEPHANI
Middle Name:
Last Name:MOYA LEDESMA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8015 NW 8TH ST APT 216
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-2857
Mailing Address - Country:US
Mailing Address - Phone:786-881-1220
Mailing Address - Fax:
Practice Address - Street 1:8015 NW 8TH ST APT 216
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-2857
Practice Address - Country:US
Practice Address - Phone:786-881-1220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-28
Last Update Date:2025-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care